A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

Avoid exposure to bright sunlight

Restrict sodium intake to 1g daily.

Maintain a tyramine-free diet.

Report increased suicidal thoughts

Answer and Explanation

The Correct Answer is D

A.   Avoiding exposure to bright sunlight is not specifically related to SSRIs; it may be a
consideration with certain medications due to photosensitivity but isn't a primary concern with SSRIs.
B.   Restricting sodium intake isn't a directive associated with SSRI antidepressant therapy.
C.   Maintaining a tyramine-free diet is a concern with certain antidepressants like MAOIs (Monoamine Oxidase Inhibitors) but not typically with SSRIs.
D.   Reporting increased suicidal thoughts is a crucial directive because SSRIs may initially increase the risk of suicidal ideation, especially in the early stages of treatment.

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Correct Answer is B

Explanation

A. This is more aligned with the evaluation phase of the nursing process, ensuring that interventions are achieving the intended results.
B. During implementation, nurses execute the care plan, carry out interventions, and coordinate care with other healthcare team members to meet the patient's needs.
C. This is primarily part of the assessment phase, ensuring a thorough understanding of the patient's situation.
D. This involves collaborative goal-setting and is more aligned with the planning phase, ensuring that patient goals are agreed upon and relevant.

A. Suicide is an impulsive act. B. As depression lifts, physical energy becomes available to carry out suicide. C. Suicide may be precipitated by a variety of internal and external events. D. Suicidal patients have difficulty using social supports.

Correct Answer is B

Explanation

A. While impulsive actions can contribute to suicide, it doesn't specifically relate to monitoring during antidepressant therapy.
B. Monitoring is crucial because as depressive symptoms improve, the energy levels may increase before mood stabilizes, potentially increasing the risk of acting on suicidal thoughts.
C. While true, this statement doesn't specifically address the need for monitoring during antidepressant therapy.
D. This statement highlights a potential issue for suicidal patients but doesn't directly relate to the need for monitoring during antidepressant therapy.

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A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?

Correct Answer is B

Explanation

Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?

Correct Answer is B

Explanation

When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

Which institution-specific clinical practice resource will the nurse use to integrate evidence- based practice (EBP) into the care of a client hospitalized for the purpose of the evaluation of his or her current therapy plan?

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?

Which intervention(s) should the nurse include in the plan of care for an adolescent who is depressed? (Select all that apply.)